腹部手术后胃瘫综合征的临床诊治及预防分析  

Diagnosis treatment and prophylaxis of gastroparesis syndrome after abdominal operation

作　　者：陶有金[1] 盛书娟[1] 王世超[1] 

机构地区：[1]郑州市第三人民医院普外科,郑州450000

出　　处：《河南外科学杂志》2010年第4期4-6,共3页Henan Journal of Surgery

摘　　要：目的探讨手术后胃瘫综合征的诊断及治疗,并对胃瘫综合征的预防进行分析。方法回顾性分析我院2003-10~2009-10 22例手术后发生胃瘫的临床资料。结果本组胃瘫综合征的发生率为3.6%,胃瘫的诊断主要依据患者的临床症状及造影、胃镜等相关辅助检查;经禁食、胃肠减压、加强肠内外营养、适当应用胃肠动力药物等保守治疗后全组患者得到治愈。结论胃瘫综合征是腹部手术后常见的近期并发症,胃肠造影、胃镜检查是主要诊断手段,采用保守治疗为主的综合治疗能取得较好效果;其发病原因是复杂的、多方面的,应以预防为主。选择恰当的手术方式、术中细致轻柔的操作及早期保持胃管通畅等措施可预防手术后胃瘫综合征的发生。Objective To approach the diagnosis,treatment and prophylaxis of after abdominal operation.MethodsThe retrospective analysis was used for the clinical data of 22 patients with gastroparesis syndrome complicated after abdominal operation.Results3.6 % of patients occurred gastricparalysis in this group.The diagnosis was depended on patient’s symptoms and auxiliary examination such as X-ray graph of the upper digestive tract and gastroscopy.All the symptoms of 22 patients were relieved by fasting diet,gastrointestinal decompression,nutrition support,water-electrolytemetabolism balance,gastrointestinalmotility pharmacotherapy.Conclusion Gastroparesis after abdominal operation was a short-term complication frequently.The combined conservative treatment is the ideal method to treat the gastroparesis syndrome.Its etiology is complicated and various,so prophylaxis must be emphasized.pertinent surgical way,wary intraoperative operation and unobstructed gastric tube could prevent gastroparesis syndrome after abdominal operation from occurring.

关 键 词：胃瘫综合征 诊断 治疗 预防 

分 类 号：R656.6[医药卫生—外科学]